877-208-5105

PO Box 481~ 2177 Highway 65, MoraMN 55051, United States


E.C. Riders

Kanabec County's Finest Snowmobile Trails

E.C. RIDERS SNOWMOBILE CLUB

                                     MEMBERSHIP APPLICATION 2016-2017                                       

PLEASE CHECK                                                                                                          DATE_______________ 

NEW MEMBER_____ OLD MEMBER_____ MEMBERSHIP CARD # ________

FIRST NAME_________________________    LAST NAME_________________________________ SPOUSE_________________________    CHILDREN__________________________________ ADDRESS__________________________ CITY_______________STATE_______ ZIP______

E-MAIL ADDRESS (necessary for club updates & info) ___________________________________

HOME PHONE(     ) -________    WORK/CELL (      ) -_______________________

DUESSINGLE                                                                                                                   $10.00______

FAMILY (INCLUDES KIDS 18 & UNDER)                                                                          $20.00______

MnUSA MEMBERSHIP (1 YEAR)                                                                                        $20.00______

* EXTRA-MILER MEMBERSHIP $50.00 ($20 individual & $30 XM additional benefits)    _______

MnUSA BUSINESS MEMBERSHIP  (1 Year)                                                                     $50.00______

MnUSA BUSINESS SPONSORSHIP                                                                                 $100.00______

Are you currently a member of MnUSA  ________                                                       TOTAL_______

*We require all EC Riders members to also join MnUSA. If you have paid your MnUSA dues directly, please provide us with your membership number.

MAKE CHECKS PAYABLE TO:               E.C. RIDERS SNOWMOBILE CLUB
PO Box 481
MORA, MN 55051

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PLEASE CHECK THE FOLLOWING AREAS YOU WOULD ENJOY WORKING ON:

TRAILS & MAINTENANCE____SOCIAL/SPECIAL EVENTS____PUBLIC RELATIONS_____ TELEPHONE COMMITTEE____ CLUB HOUSE MAINTENANCE_____MEDIA/WEB PAGE UPDATE___